Individual
BRODY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 601-0546
Mailing address
9262 NW 16TH ST, ANKENY, IA 50023-9155
(515) 339-4586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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